Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $2,870.00 / $5,268.00	Facility		$128.38	$2,870.00	$5,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $232.12 / $571.35	Professional		$93.76	$232.12	$571.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $204.20 / $386.28	Professional		$110.06	$204.20	$386.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $208.79 / $259.12	Professional		$163.99	$208.79	$259.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,361.81 / $1,728.22 / $2,518.51	Facility		$1,361.81	$1,728.22	$2,518.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $295.82 / $497.18	Professional		$156.09	$295.82	$497.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,649.00 / $2,824.00	Facility		$1,106.00	$1,649.00	$2,824.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $228.35 / $354.96	Professional		$173.76	$228.35	$354.96